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Is screening for tuberculosis acceptable to immigrants? A qualitative study.
1Department of Respiratory Medicine, Homerton University Hospital, Homerton Row, London E9 6SR, UK.
Journal of Public Health (Oxford, England)
|July 6, 2006
Summary
Tuberculosis screening for immigrants was highly acceptable, with most viewing it as a socially responsible act. This study highlights the importance of offering screening in diverse settings to ensure accessibility and positive reception among vulnerable populations.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Immigration Health
Background:
- Global resurgence of tuberculosis necessitates screening strategies.
- Immigrant tuberculosis screening faces criticism for potential discrimination and stigma.
- Acceptability of screening programs, especially for vulnerable groups like refugees, is crucial but understudied.
Purpose of the Study:
- To investigate the acceptability of tuberculosis screening among immigrants.
- To gather data on immigrant responses to tuberculosis screening in various settings.
Main Methods:
- Qualitative interview study with a maximum diversity sample of 53 immigrants.
- Recruitment across three distinct screening settings: social service center, hospital clinic, and primary care.
- Focus group with asylum seekers to validate findings.
Main Results:
- Tuberculosis screening was highly valued by immigrant recipients.
- Many participants perceived screening as a socially responsible activity.
- High acceptability was observed across all settings, with participants preferring their chosen screening location; few concerns about discrimination were raised.
Conclusions:
- Tuberculosis screening is highly acceptable to immigrants in diverse settings.
- Screening programs should be offered in a variety of accessible locations to maximize uptake and positive reception.